FORMS & POLICIES

We need your complete health history to correctly diagnose any problems you may have, and to choose the most effective care plan to get you feeling better as quickly as possible.

  • ALL NEW PATIENTS will need to complete the entire New Patient Packet:

Download and Print New Patient Paperwork

  • PATIENTS WHO HAVE BEEN IN AN ACCIDENT will also need to fill out the Automobile Accident Forms or Worker's Compensation/Injury Forms, as appropriate. Please let our staff know when scheduling your initial appointment if your visit is due to an automobile or workplace accident!

Automobile Accident Forms

Worker's Compensation/Injury Forms

  • PATIENTS WHO ARE INTERESTED IN TELEHEALTH (VIRTUAL VISITS) will also need to complete the Telehealth Informed Consent Form. Please let our staff know when scheduling that you would like a virtual visit.

Telehealth Informed Consent Form

Why So Many Questions?

We realize that your personal information and medical details are private and sensitive; our intake paperwork is designed to provide us with the details we need to treat you fully and effectively. In return for you openness and honesty regarding these questions, we assure you that your private information is kept secure, as dictated by HIPAA guidelines (The Health Insurance Portability and Accountability Act of 1996).

Health Insurance

We are in-network with Aetna and with all BlueCross BlueShield plans.

If we do not participate with your health insurance provider, we will be happy to work with you to ensure that you are able to access care.


ADDITIONAL POLICIES

Missed Appointments

As a small office dedicated to high-quality patient care, we offer a limited number of appointments each week; when you schedule one, we’re reserving that time just for you. Please review our Late Cancellation & Missed Appointment Policy before committing to treatment with us.

Refunds

All sales are final. Because of the nature of the products and services we sell, we are not able to issue refunds or credits. If you have a question about something you’ve purchased in our office, please talk with Dr. Robertson at your next visit. Thanks for your understanding!

Infection-Control Procedures

We care about your health and that of our community!

  • Please sanitize your hands when you enter the clinic.

  • We sanitize rooms and equipment between patients, and we have spaced out the time between appointments. (This is to prevent us from transmitting pathogens between patients, not because we’re afraid of you!)

  • Masks are optional as of March 1, 2023, for all patients. Although Dr. Robertson is fully vaccinated, he will continue to wear a mask when in the treatment room at your request. Please convert your visit to telehealth if you are sick (or your family member/co-worker is sick); otherwise, if you’re recovering, please wear a mask while you still have symptoms, even if you’re testing negative for COVID-19.

  • Check-in and check-out are contact-free: You won’t have to touch pens, papers, or surfaces that others use. If you need to fill out a form or sign a paper, we have sanitized pens and clipboards.